Individual provider Active NPI

Paul Waddell Hutson, CRNA

  • Certified Registered Nurse Anesthetist
  • Enid, OK
National Provider Identifier
1063654580
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
94632 Issued in OK
Practice address
600 S Monroe St
Enid, OK 73701-7211
Phone
(580) 233-2300
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 94632 OK Primary

Addresses

Primary practice location

600 S Monroe St
Enid, OK 73701-7211

Mailing address

626 Deer Run
Enid, OK 73703-3426
Phone (580) 242-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140102001008 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779631858 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (956) 523-2000

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 675-2216

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
94632OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Orthopedic Pain Management, PLLC CurrentSince Aug 1, 2016 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 1, 2016 Accepting new patients
Kikkeri International, PA CurrentSince Feb 19, 2016 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2017 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Apr 19, 2022 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Genesis Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
IV Anesthesia Services PLLC CurrentSince Jan 1, 2014 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Aug 1, 2016 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2020 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2017 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Mesquite Professional Anesthesia, PA CurrentSince Feb 19, 2016 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2020 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia of Enid LLC PastSince Aug 3, 2025 Accepting new patients
Obstetrical Anesthesia of Enid Past Accepting new patients

Locations (25 of 31)

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

108 E US Highway 80
Ste 150
Forney, TX 75126
Phone (972) 564-4444

618 Clara Barton Blvd
Ste 5
Garland, TX 75042

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

850 Ed Hall Dr
Kaufman, TX 75142
Phone (972) 932-5555

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2694 N Galloway Ave
Ste 501
Mesquite, TX 75150
Phone (972) 681-2226

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

3865 Childress Ave
Ste A
Mesquite, TX 75150
Phone (469) 554-0213

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

225 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 281-8314

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1063654580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 DEER RUN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737033426",
            "telephone_number": "580-242-3003",
            "fax_number": "580-237-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017211",
            "telephone_number": "580-233-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "PAUL",
        "middle_name": "WADDELL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "94632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.